Cirugía endoscópica avanzada de base de cráneo, cavidad nasal y senos paranasales: experiencia de 40 meses en un hospital universitario / Advanced endoscopic surgery of skull base, nasal cavity and paranasal sinus: experience of 40 months in a university hospital / Cirugia endoscopica avançada de base de craneo, cavidade nasal e seios paranasales: experiência de 40 meses num hospital universitário

INTRODUCCIÓN: El uso del endoscopio junto con el avance de la tecnología ha facilitado la extensión de los límites tradicionales en la cirugía de la base del cráneo, la cavidad nasal y los senos paranasales. OBJETIVO: Describir los hallazgos epidemiológicos, clínicos e histopatológicos en los pacientes intervenidos por cirugía endoscópica avanzada en una unidad de Otorrinolaringología en 40 meses. MATERIAL Y MÉTODOS: Estudio retrospectivo. Los protocolos quirúrgicos e historias clínicas fueron revisados. Se realizó un análisis univariado descriptivo con aplicación de test de Chi-cuadrado para significancia estadística (p<0,05)...

INTRODUCTION: The use of the endoscope and the advance of the technology has facilitated the extension of the traditional limits in the surgery of skull base, nasal cavity and paranasal sinuses. OBJECTIVE: To describe the epidemiologic, clinical and histopathological findings in patients intervened under advanced endoscopic surgery in an Otorhinolaryngology unit in 40 months. MATERIAL AND METHODS: Retrospective study. Surgical protocols and medical records were reviewed. A descriptive univariate analysis was performed with the application of Chi-square test for statistical significance (p <0.05)...

INTRODUÇÃO: O uso do endoscópio junto com o avanço da tecnologia facilitou a extensão dos limites tradicionais na cirurgia da base do crânio, a cavidade nasal e os seios paranasais. OBJETIVO: Descrever os achados epidemiológicos, clínicos e histopatológicos em pacientes submetidos a cirurgia endoscópica avançada em uma unidade de Otorrinolaringologia em 40 meses. MATERIAL E MÉTODOS: Estudo retrospectivo. Os protocolos cirúrgicos e os registros médicos foram revisados. Uma análise descritiva univariada foi realizada com a aplicação do teste Qui-quadrado para significância estatística...

Preliminary study of the role of the nasal endoscopy in the management for posterior epistaxis

To evaluate the role and efficacy of the nasal endoscopy for posterior epistaxis. Prospective study. It was conducted during the period from January 2009 to May 2013. Al-Madinah Poly-Clinic in Al-Mukalla city of Yemen. Fifteen [15] patients with posterior epistaxis were subjected to management by nasal endoscopy. Eleven [11] patients were managed successfully be nasal endoscopic cauterization, while 3 patients were failed and managed by anterio-posterior nasal packing and one patient was managed by ligation of sphenopalatinal artery. All cauterizations were done under general anaesthesia by o and 30 4mm nasal endoscopy, suction cautery and 22 gauge spinal needle. Data collected and analyzed. The most affected age groups were 51-60 and >60 years and female more affected. The most causes for posterior epitaxis were arteriosclerosis and hypertension [40%]. The most applied treatment was cauterization [73.33%]. The nasal endoscopic cauterization is recommended as the first line of the management for posterior epistaxis in order to avoid the possible, dangerous complications of nasal packing and to find the underlying pathology

[Endoscopic surgery of the lower urinary tract at the Ignace Deen University Hospital. Report on 550 cases]

Objective: This study was carried out to analyze the frequency, feasibility and morbidity of endoscopic surgery of the lower urinary tract in our department

Patients and Methods: In a retrospective study covering a period of six years [January 1, 1996 to December 31, 2001], 550 patient files were analyzed with respect to the results of endoscopic surgery of the lower urinary tract

Results: Out of 550 endoscopic interventions, transurethral resection was performed in 272 [49.4%], endoscopic internal urethrotomy in 236 [42.9%], bladder neck incision in 40 [7.3%] and ablation of posterior urethral valves in 2 [0.37%] patients. Complications of transurethral resection were found in two patients only [0.74%] in the form of reabsorption syndrome in one and capsular perforation in the other. The complication rate of endoscopic internal urethrotomy was 9.32%, most commonly extravasation of irrigation fluid into the scrotum

Conclusion: Endoscopic surgery of the lower urinary tract is a technique yet to be mastered in our country as it is a valuable and important addition to the armamentarium of the urologist